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Anxiety or Hyperthyroid..Need Help !!!!!
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Questions in the Thyroid forum are answered by Mark Lupo, MD. Topics covered include Goiter, Graves Disease, Hyperthyroid, Parathyroid/Calcium Problems, Thyroid Cancer, Thyroid Nodules/Cysts, Thyroiditis, Thyroid & Pregnancy, Thyroid Stimulating Hormone (TSH), Thyroid Tests, and Thyroid Surgery.

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Anxiety or Hyperthyroid..Need Help !!!!!

Current Symptoms:  Headaches, body aches, Heat and Cold intolerance, Rapid Heart Rate most of the time, Dizzy, Lightheaded, Anxiety, internal and external body shakes/tremors.  Inside I feel like I'm shaking all over, outside, slight tremor in hands escpecially when drinking from a glass of water it's more noticeable.

Meds:  Serzone 150mg bid, Klonopin 1mg bid, Metoprolol 12.5mg bid, Xanax prn

Significant PMH:  Hypercholesterolemia Cholesterol is 360, Triglycerides almost 2000, Vitiligo which hit me at age 30, I'm 38 now (mother has it too), Anxiety since age 18, but always under control with current meds.  Never had Generalized Anxiety Disorder, just situational.

Yesterday, my heart started racing while at home in front of the computer.  I started to get real anxious and antsy, so I took a total of 0.75mg of xanax, which I never do.  Forty five minutes later I was yawning from the Xanax, symptoms persisted.  I started getting short of breath and lightheaded.  I managed to drive myself to the ER.  On arrival, I was breathing 45 breaths/min.  Heart rate was 130 on EKG monitor.  I was given Oxygen and had Xrays and blood work.  Just found out Thyroid Panel was normal as well as CBC, CMP, and D-dimer.  Funny thing is that I wasn't anxious or scared or panicky in the ER.  I was just breathing fast with a high heart rate and of course dizzy and lightheaded.  I was voiding what seemed like every 5 minutes and large about 200-300cc at a time and had nothing to drink.  I had no caffeine.

Can I still have a Thyroid condition despite a normal Thyroid panel?  I am on a beta blocker, so I wonder if that could distort the lab results.  Funny thing is, I forgot to take my beta blocker yesterday morning, and I never miss a dose.  Seems like a cause/effect to me.  SSRI meds all made me sick.

Any advice or suggestions would greatly be appreciated.  

Gary Engelman, BSN, RN
***@****
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97953_tn?1193367871
With normal labs and recent symptoms - this is not likely thyroid.  Beta Blockade may slightly decrease T3 but will not significantly influece TSH or T4.  Missing BBl may lead to rebound tachycardia, etc as you know.
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